Leading client meetings as the primary liaison. Applicants must meet the following qualifications: Ability to travel 15% 5 years experience. Proven proficiency with Microsoft Word, Excel, and PowerPoint software. Experience in managed care or healthcare field.
RN or Social Worker with an active PA license and 3 yrs recent clinical experience;or healthcare professional with a BS (or higher) in social work. Knowledge of managed care principles and emerging health treatment modalities. Possession of a valid driver's license.
A home care and pharmaceuticals company needs applicants for an opening for a Telecommute Home Infusion Nursing Service Specialist in Denver. Candidates will be responsible for the following: Providing new and existing nurse onboarding training.
An insurance company is seeking a Telecommute Senior Care Management Consultant Registered Nurse in the Charleston Area. Must be able to: Serve as a subject matter expert for all Care Management related products. Educate and assist others on competitive advantage of products.
5+ years recent experience in Managed Care in a regional or national health plan. 5+ years of experience leading large clinical projects and programs. 5+ years of experience as clinical program manager. Demonstrated ability to collaborate with senior physician and executive leaders.
A health insurance company is in need of a Remote Senior EHCV Business Consultant. Must be able to: Design business and/or operational solutions. Produce quantitative and qualitative deliverable analyses. Proactively collaborate across multiple functional areas in order to design solutions.
A healthcare company has a current position open for a Telecommute Strategy and Market Analyst. Core Responsibilities Include: Supporting the development and execution of financial analytics to support strategy development.
A managed care services provider is searching for a person to fill their position for a Telecommute Quality Practice Advisor in Paducah. Candidates will be responsible for the following: Developing, enhancing and maintaining provider clinical relationship across product lines.
Must be able to: Enhance medical appropriateness and quality of care. Incorporate the use of motivational interviewing with patients. Identify and escalate quality of care issues. Applicants must meet the following qualifications: 2 week training period in the New Albany, Ohio office.
Have an ASN/BSN. Willing to apply for any state licensure the organization requests. 1 year of experience in a Managed care organization (MCO) or Third party administrator (TPA) Become knowledgeable of URAC requirements for CM accreditation. Have reliable high-speed internet service at home.